MRS. KATHERINE NICOLE WILLINGHAM (NPI# 1306315825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306315825 |
Entity Type | Individual |
Full Name | MRS. KATHERINE NICOLE WILLINGHAM |
Credential | APRN |
Practice Address |
2151 Sw Barthel St Port Saint Lucie FL 34984-4301 |
Practice Telephone | 7727859419 |
Mailing Telephone | 7727859419 |
Enumeration Date | 2018-11-14 |
Last Update Date | 2018-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11000064 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245262435 | Katherine J Willingham | Internal Medicine | 901 Sw Garfield Ave, Topeka, KS 66606-1670 | 2006-07-07 |
Street Address |
2151 SW BARTHEL ST |
City | PORT SAINT LUCIE |
State | FL |
Zip Code | 34984-4301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720616014 | Knw Medical Services LLC | Home Health | 2151 Sw Barthel St, Port Saint Lucie, FL 34984-4301 | 2020-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
Find all providers in zip 34984 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063451 | Agatha E Adjei | Nurse Practitioner | 1590 Sw Mullinax Ave, Port Saint Lucie, FL 34953-7060 | 2020-11-05 |
1700491354 | Sarah Cross | Nurse Practitioner | 1901 Se Tickridge Rd, Port Saint Lucie, FL 34952-5222 | 2020-09-10 |
1942823067 | Massiel Morales | Nurse Practitioner | 1213 Sw San Antonio Ave, Port Saint Lucie, FL 34953-4838 | 2020-05-22 |
1558903104 | Eduardo Castro | Nurse Practitioner | 10491 Sw Sarah Way, Port Saint Lucie, FL 34987-1979 | 2019-10-15 |
1558847921 | Quessie Campbell | Nurse Practitioner | 843 Sw Jaslo Ave, Port Saint Lucie, FL 34953-5632 | 2018-07-18 |
1881192060 | Kelley Marie Turco | Nurse Practitioner | 156 Nw Bentley Cir, Port Saint Lucie, FL 34986-2430 | 2018-01-23 |
1679083034 | Jennifer Anne Burke | Nurse Practitioner | 1801 Se Hillmoor Dr # 108, Port Saint Lucie, FL 34952-7553 | 2017-10-11 |
1063961605 | Martine Apollon | Nurse Practitioner | 5880 Nw Carovel Ave, Port Saint Lucie, FL 34986-3801 | 2016-09-23 |
1346600707 | Karen Gagliano | Nurse Practitioner | 233 Nw Pleasant Grove Way, Port Saint Lucie, FL 34986-3583 | 2016-02-28 |
1861851529 | Carol Wilson | Nurse Practitioner | 2530 Sw Salzedo Ave, Port Saint Lucie, FL 34987-2244 | 2016-02-22 |
Find all providers in PORT SAINT LUCIE |
City | PORT SAINT LUCIE |
Zip Code | 34984 |
Please comment or provide details below to improve the information on MRS. KATHERINE NICOLE WILLINGHAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.